Active NPI
Stamford Emergency Medical Services, Inc.
- Land Ambulance
- Stamford, CT
National Provider Identifier
1700985348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- C135P1
- Legal business name
- STAMFORD EMERGENCY MEDICAL SERVICES, INC.
- Practice address
- 684 Long Ridge Rd
Stamford, CT 06902-1225 - Phone
- (203) 968-1118
- Fax
- (203) 322-0658
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Squires
- Title
- Executive Director
- Phone
- (203) 968-1118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | C135P1 | CT | Primary |
Addresses
Primary practice location
684 Long Ridge Rd
Stamford, CT 06902-1225
Mailing address
684 Long Ridge Rd
Stamford, CT 06902-1225
Phone (203) 968-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004105319 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000401 | CT | Part B Supplier - Ambulance Service Supplier | 6800859844 | Practice locations: Stamford, CT |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Stamford, CT
- NPI 1043319627
Member Of
Locations
684 Long Ridge Rd
Stamford, CT 06902
Phone (203) 637-2351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369267200000",
"number": "1700985348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "684 LONG RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021225",
"telephone_number": "203-968-1118",
"fax_number": "203-322-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 LONG RIDGE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069021225",
"telephone_number": "203-968-1118",
"fax_number": "203-322-0658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAMFORD EMERGENCY MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2013-05-23",
"status": "A",
"authorized_official_last_name": "SQUIRES",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-968-1118"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CT",
"license": "C135P1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004105319",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.